CAJ | 학술논문

目的探讨彩色多普勒超声检查对乳腺浸润性导管癌的诊断价值.方法回顾性分析55例经手术病理确诊为乳腺浸润性导管癌患者术前彩色多普勒超声诊断资料.结果 55例乳腺肿块中,术前有彩色血流显示49例,无彩色血流显示6例.彩色血流显示诊断率与病理符合率为89.1%.乳腺浸润性导管癌超声图像特征:肿块呈不规则形,无包膜,后方回声衰减,有"毛刺征"、"蟹足状"等改变,肿块内多为不均匀性低回声,伴有微小簇状钙化或不规则光斑,后无声影,血流分布多表现为Alder Ⅱ～Ⅲ级,腋窝淋巴结不同程度肿大,淋巴门结构不清晰,收缩期峰值流速在12～80 cm/s(平均35.1 cm/s),阻力指数在0.62～0.92(平均为0.79±0.10).结论彩色多普勒超声检查对乳腺浸润性导管癌早期诊断具有重要的价值.
목적 탐토채색다보륵초성검사대유선침윤성도관암적진단개치.방법 회고성분석55례경수술병리학진위유선침윤성도관암환자술전채색다보륵초성진단자료.결과 55례유선종괴중,술전유채색혈류현시49례,무채색혈류현시6례.채색혈류현시진단솔여병리부합솔위89.1%.유선침윤성도관암초성도상특정:종괴정불규칙형,무포막,후방회성쇠감,유"모자정"、"해족상"등개변,종괴내다위불균균성저회성,반유미소족상개화혹불규칙광반,후무성영,혈류분포다표현위Alder Ⅱ～Ⅲ급,액와림파결불동정도종대,림파문결구불청석,수축기봉치류속재12～80 cm/s(평균35.1 cm/s),조력지수재0.62～0.92(평균위0.79±0.10).결론 채색다보륵초성검사대유선침윤성도관암조기진단구유중요적개치.
Objective To explore the ultrasound images features of breast infiltrating ductal carcinoma. Methods Retrospective analysis of operation pathology ,55 patients diagnosed preoperatively infiltrating ductal carcinoma of color Doppler ultrasound diagnostic information. Results Before operation, 55 patients with breast tumors had color Doppler shows in 49 cases,no color doppler showed 6 cases,color Doppler shows with pathologic diagnosis is 89.1%. An infiltrating ductal carcinoma ultrasound image characteristics:the larger mass was irregular form,no coated, posterior acoustic attenuation,"burr levy" ,and "crabs foot shape" more inside,bump such change for not uniformity hypoechoic,with tiny clusters of calcified or irregular flare,shadow,blood flow distribution after silent for AlderⅡmore performance level Ⅲ,axillary lymph node enlargement,a different level hilus structure was clear,the peak systolic velocity in 12-80cm/s (average 35.1 cm/s ) , resistance index in 0.62-0.92 (average for 0.79 + 0.10). Conclusion Color doppler ultrasonography had important value in early diagnosis of infiltrating ductal carcinoma.